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Phoenix is known for its heat, but this year is taking a toll everywhere says CareGivers from Care-To-Go.  Weather you are a Scottsdale senior or an elder from Chandler, AZ, caregivers need to be particularly alert to senior hydration.

By:LINDSEY TANNER | AP Medical Writer | 07/19/11 1:38 PM

Healthy, active seniors enduring this week’s heat wave without any trouble are reminded that they need more water to keep the blood flowing and are far more at risk of dehydration and heat stroke.

This week’s heat wave may be uncomfortable, but you’re healthy, active and feel just fine. So what if you’re over 65? Think again. Feeling good doesn’t mean you’re safe.

There are changes in an older person that raise the risk for heat stroke and other problems. An older body contains far less water than a younger one. Older brains can’t sense temperature changes as well, and they don’t recognize thirst as easily.

Blistering summer heat is an underappreciated killer, claiming by some estimates as many as 1,000 U.S. lives each year — more than any other type of weather.

One federal study found 40 percent of heat-related deaths were in people 65 and older. Those numbers could be lower if more heeded heat warnings aimed at seniors. Yet research has shown many people over 65 don’t think the warnings apply to them — because they don’t think they’re "old."

Don Worden is 79 and an avid tennis buff who prefers playing doubles on outdoor courts along Chicago’s lakefront — even in oppressive 90-degree temperatures like those hitting the Midwest this week.

"I don’t pay too much attention to those" warnings, Worden said. "I stay in pretty good shape, and I don’t feel they apply to me."

Worden said he drinks a lot of water and would stop a match if he started feeling effects from the heat, "but that hasn’t happened."

Scott Sheridan, who studies the effects of heat and climate on health at Kent State University, researched how people over 65 view heat warnings. In his 2006 study of more than 900 people, he found about 70 percent knew about advice to drink plenty of water on very hot days, avoid outdoor activities and stay inside with air conditioning. But only about half said they followed the advice.

"People well into their 70s would say old people should watch out but not them," he said. "People just didn’t want to be thought of in that same category."

Dr. David Zich, an emergency medicine specialist at Northwestern Memorial Hospital, said he has colleagues in medicine that age who shun being thought of as "elderly." But those heat warnings apply to them, too.

As Dr. William Dale, geriatrics chief at the University of Chicago Medical Center explains it, "Any older adult has less reserve and is more likely to become dehydrated than others, just because their overall body water goes down with age no matter how healthy you are."

The amount of water in the body declines with aging, from about 80 percent in young adulthood to about 55 to 60 percent for people in their 80s, Dale said.

Temperature sensors in the brain become less sensitive as people age, so the body doesn’t get the same signals to drink water in hot weather, and older people often don’t feel thirsty even when they need to replenish, Dale said.

They also may not feel the typical symptoms of dehydration, such as headache or dizziness. Some complain of just feeling "bad" and think they’re getting sick, he said.

Conditions were ripe for those types of complaints Tuesday as a dense dome of hot air remained parked over much of the nation’s midsection, raising temperatures into the mid- to upper-90s from the Texas Gulf Coast to the Rockies and the northern Plains. Tropical-level humidity raised the heat index in many places to nearly 120 degrees.

In South Dakota, up to 1,500 head of cattle died across the state from the heat. And in eastern Iowa, the scorching sun caused a portion of Interstate 380 to buckle. The weather also sent dozens of people to hospitals, canceled outdoor sporting events and caused sporadic power outages.

In such conditions, dehydration can lead to heat exhaustion and potentially deadly heat stroke. During a heat wave, that can happen in a matter of hours in older people if they over-exert themselves, don’t drink enough water or are frail and don’t get out of un cooled homes, said Dr. Chris Carpenter, an emergency medicine physician at Washington University School of Medicine in St. Louis.

Heat exhaustion can cause muscle cramps, low blood pressure, rapid pulse and nausea. It can be treated at home, by drinking water, getting into an air-conditioned room or sitting in front of a fan and misting the body with cool water.

But affected people should be monitored for mental changes and to make sure their temperature does not rise above 102 because the condition can quickly lead to heat stroke. A medical emergency, heat stroke involves temperatures of 104 or higher and can cause seizures, loss of consciousness and death.

Medicines many older people take also may make them more vulnerable to the heat. These include diuretics for high blood pressure, which increase urination — and make it more important to drink plenty of water, Dale said.

Some types of drugs can interfere with sweating and raise body temperature, including some medicines for insomnia, nausea, prostate conditions, Parkinson’s disease and even Benadryl. Many list "dry mouth" as a side effect — a tip-off to drink more water, Zich said.

There aren’t specific guidelines on how much water older people should drink in a heat wave.

Dale said he generally tells his older patients to drink a quart of water throughout the day, and to drink even if they don’t feel thirsty.

Doctors also advise older patients to avoid alcohol and coffee during extreme heat because they can cause the body to lose fluid and contribute to dehydration.

For more information on home care in Phoenix, Scottsdale, Chandler, Mesa or the East Valley contact Care-To-Go home care. (480) 284-8611

Phoenix CareGiver Discusses Choices for Seniors Including More than Nursing Homes and Assisted Living Facilities

Seniors prefer living arrangements that offer socialization and an active lifestyle. Staying with families may not be the only option for some elderly persons. To keep independence and remain in the familiar surroundings of a senior’s own home is usually the best option. As seniors begin to need assistance, a Phoenix caregiver can provide part-time assistance. As the level of assistance required increases, the caregiver schedule can be increased to fit the needs of the senior to allow the senior to remain in their own home as long as possible.
Some elderly people prefer not to live in the same house with grown children and their families because different lifestyles. Other seniors may require extensive caregiving to assist with daily living activities, and supervision during the day, making it difficult to live with family members. In these cases, a Phoenix caregiver can provide the required assistance up to the point where the senior needs more help than can be provided at home.

Among the choices for senior living are; Retirement Communities, Assisted Living Facilities, Residential Care Facilities, Skilled Nursing Facilities, and Nursing Homes. Some facilities include all of these levels in one place.

More Residential Living Choices for Seniors

Not all elderly people have families. Some of those older people that do have family prefer not to live with adult children, nieces, nephews, or grandchildren. Some of these choices require the senior to purchase their home and others may rented on a month-to-month basis.

Here are a few ideas for elderly living:

• Retirement Communities. Some regions dedicate entire residential communities to senior living. For example, Sun City West is Arizona’s finest golf retirement community. Sun City West is a newer version of the original Sun City. Located near Phoenix, this fabulous resort-style setting is inhabited by golden age seniors who aren’t ready to slow down. The community is entirely self-contained and self-governed.
• Assisted Living Facilities. Apartment style living offers independence, yet elderly clients can request assistance with meals, housekeeping, and transportation within a radius from the facility. Transportation may include trips to grocery stores, malls, or medical facilities. These facilities usually include a dining room for meals and many recreational activities. Assisted living facilities may or may not offer nursing or other medical services. Most offer a hair salon and other personal services.
• Residential Care Facilities. RCFs for the elderly are designed for people who cannot live alone but want to maintain some measurable control over their lives. Help with personal care is provided as well as assistance with meals and other daily living tasks. There is a staff on call around the clock, but no skilled nursing.
• Skilled Nursing Facilities. Skilled nursing facilities are equipped to administer medical care such as giving medications and providing other services within the realm of nursing duties. Some facilities may provide rehabilitative therapies.
• Nursing Homes. Nursing homes provide medical care for people who cannot manage medical or personal needs at home, but who do not need hospitalization. The staff can provide medical care, as well as speech, physical, and occupational therapies. There might be a nurses’ station close by. Other nursing homes try to be more like home. They try to have a neighborhood feel. Often, they don’t have a fixed day-to-day schedule, and kitchens might be open to residents.

Selecting a Housing Facility for a Senior

The selection of the appropriate residential living situation can be a complicated issue.  First, most seniors want to be at home (usually alone).  The first choice is to try caregiving at home.  After that a choice must be made to accommodate the senior and meet the actual needs of the senior. there are several services available to help families make the right choice for mom or dad.

Phoenix Care-To-Go CareGiver points to article on Flue Shots

A recent comprehensive review of clinical trials suggests that there has been LITTLE evidence to demonstrate the flu vaccines used in the past 40 years are safe to use to prevent flu effectively in people aged 65 years and over.

Ironically, elderly people are among the most vulnerable and they are in the priority group to receive flu vaccine as the medical industry and government health agencies keep telling them that flu vaccine is the best preventative against flu.

Tom Jefferson of the Cochrane Collaboration in Rome, Italy and colleagues conducted a thorough search of studies based on previous vaccine trials.   Of the 75 studies reviewed, the researchers were able to identify only one recent randomized controlled trial with "real" outcomes.  All the other studies in the review except one were considered of low quality and open to bias, Wiley-Blackwell, the journal publisher says in a press release.

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Contact Care-To-Go for Phoenix Home Care CareGivers and Phoenix Travel Companions for Seniors 800-818-0407